Please complete this registration form to sign up to learn how to save a life using CPR+AED skills. The training event is taking place from 1:30-2:30pm on Sunday, February 3rd (Superbowl Sunday) and is jointly hosted by Academy Sports Complex (Thorndale) and Aidan's Heart Foundation. This is NOT a certification course. In just one hour, you will learn how to recognize the signs of cardiac arrest, respond appropriately to best ensure chances of survival, and practice life-saving skills using CPR and an Automated External Defibrillator (AED). This is a free event, and donations to Aidan's Heart Foundation will be considerably appreciated. Please register ONLY if you fully intend to attend this event so that we can have the appropriate number of volunteers and equipment on hand. Thank you!

* Required

Email address *

Your email

Participant's First Name: *

Your answer

Participant's Last Name: *

Your answer

Is this participant 18 years or older? If no, please answer the next question. *

Yes

No

Please list the name and phone number of the responsible adult who is registering this participant:

Your answer

Is this participant a: *

Coach

Parent

Student/Child

Other:

Required

If this participant is a coach, what team/league does he/she coach?

Your answer

What is this participant's knowledge of CPR+AED skills? *

None; has never been trained or certified in CPR

Has received training/certification in the past (more than 5 years ago)

Has received training in the last 5 years

Has received certification in the last 5 years

Is currently CPR-certified*

* If this participant is currently certified in CPR+AED skills, would he/she be interested in volunteering at this event?

Is this participant interested in being placed on the contact list for ASC or AHF? *

Academy Sports Complex (ASC) only

Aidan's Heart Foundation (AHF) only

Both ASC and AHF

Neither

Thank you for registering for the Save-a-Life Superbowl Sunday CPR+AED training event!

You will receive an email reminder one week prior to the event. If you are unable to attend, please send an email to info@aidansheart.org at your earliest convenience. Our volunteers are giving up their time to make this event a success; please be considerate if something pops up and you're not able to make it!